Before starting treatment for enlargement of penis all above causes are investigated and proper diagnosis is made. Once male hormone deficiency or other cause found treatment becomes easy. Various options of penis girth enhancement therapy are available for thin penis is:Medical treatment i.e. by hormone therapy available as pills, hormonal skin patches or injections

Surgical therapy: Penis girth enhancement surgeries

First We Test: Whether Penis Enlargement Is Possible Or Not.

For this hormone therapy given for three months in form of male hormone injection, skin patches, or oral tablets. If penis enlarges in size i.e. it grows in size by more than 1.25 cm in length & significant growth in girth in these three months, it means penis of that patient has potential for further growth. Once it is decided by above test that penis has potential for further growth, in such patient further courses of hormone therapy is given. By few courses of hormone treatment penis enlarges by three to four inches. By this therapy penis girth also increases besides increase in length. This penis girth increasing treatment is very effective in those entire
patients in whom initial penis increasing potential test shows that penis has capability for further penis growth. Thus all patients achieve fully normal penis i.e. good penis length & thick penis. As penis increases in size
patients confidence increases and feeling of well-being is achieved.

We start medical treatment only when above tests shows that penis has capacity to enlarge in girth as well as in length. It is given in the form replacement of male hormone testosterone & other hormones as growth hormone, DHT hormone & growth factor replacement. These hormones can be given in the form of oral tablets, skin patches, ointments, gel or injections.
As this treatment has no side effects, is economical and easy to take either as oral tablets, skin patches, or as gel or sometimes as injection of hormone.

The various Treatment options are:

1) Male hormone testosterone replacement: The replacement of male hormone testosterone is one of the common treatments for penis enlargement. The various preparation of testosterone is:

a) Oral preparation, which is available in capsule form. It needs to be given one to three capsules daily. These have no side effects.

b) Tran dermal Testosterone given as scrotal patch. It is very effective & has no side effects. It can be also given as Testosterone gel, which can be applied on any part of the skin.

d) Sublingual Testosterone cyclodextrin is now available which is very fast acting & very effective in inducing better sex organ & secondary sexual character development.

e) Local application of D.H.T. gel is new preparation for male hormone replacement. It is very effective for increasing penile
thickness.

g) Long acting testosterone as testosterone bucilate given once in 4 months.

h) Testosterones implants are now available which once injected remain effective for up to six months.

i) New human androgen receptor modulators they increase the effect of male hormone over androgens.

2) Growths Hormones Therapy: is given when somatotropin deficiency is found.

3) IGF-1 therapy: is given when somatomedin c is subnormal.

4) DHT Therapy is given in many patients. It is very effective in most patients. This treatment is also effective in many patients when all above treatment has failed. The other good thing about this is that it is available as skin gel so taking this is simple & has no side effects. This treatment is very effective in those in whom male hormone is unable to work due to inability to generate the final end product for testosterone efficacy due to 5 alpha reductase defects. In such patient replacement of final target hormone is replaced leading to good penile growth. In such situation even male hormone can be used in higher than usual doses leading to achievement of good penile enlargement.

5) Gonadotropin therapy is also very effective in penis enlargement.

2) Gonadotropin releasing hormone therapy is effective in many cases of underdeveloped genitalia.

How this treatment works:

When we give above-mentioned hormone by any of the above-mentioned routes. The concentration of these hormones in blood circulation rises. This leads to binding of more hormones on androgen receptors of penis. After binding with receptors these hormones leads to certain changes in the penis tissue. This leads to multiplication of penile tissue leading to further growth in girth as well as in length. This continued multiplication of penile tissue leads to further penis growth. This continued multiplication of penis tissue under the effect of above mentioned hormone treatment continues till penis girth & length normalizes.

Response of treatment: When any of above treatment is started the response is very good & has no side effects. In one study when the above hormone started, penis girth increases as well as length increases by 1.0 cm in first month & then 0.3 cm every month in later months. After few courses of above treatment penis enlarges by three to four inches in length & also in girth i.e. thickness. Thus the trial of treatment should be given to all adults with small penis before asking them to go for surgery.
But unluckily many doctors do not take the problem seriously leading to patient not given proper treatment. Thus many patients remain having small size of penis & associated lifelong inferiority complex.

Side Effects: It has no side effects if given in proper disease and in patient's when it is really indicated. This it is absolutely safe.

Penis Girth Enhancing Surgeries:

Surgical Treatment is required when medicine are not effective then there are various surgical procedures are there which can lead to long & thick penis. At our centre our micro surgeon performs all penis enlarging or girth increasing surgery.

These surgeries are performed by specialist surgeon (microscopic surgery) when penis is significantly small medicines have failed. Sometimes it is performed to improve the performance & satisfaction of man.
This surgery is called Penis Girth increasing surgeries.

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